<%@ include file="/jsp/common.jsp" %>
<%@ page  language="java" import="java.util.*" contentType="text/html; charset=utf-8" pageEncoding="utf-8"%>
<head>
<link href="../css/mainbody_style.css" rel="stylesheet" type="text/css" />
</head>
<body>
	<div>
	<form>
		<table style="line-height:2em;">
			<tr>
				<td>学校</td>
				<td>
					<select name="schoolCode">
						<option value="0101">市第一高中</option>
						<option value="0102">市第二高中</option>
						<option value="0103">市第三高中</option>
						<option value="0104">市第四高中</option>
					</select>
				</td>
				<td>年级</td>
				<td>
					<select name="gradeCode">
						<option value="A">高一</option>
						<option value="B">高二</option>
						<option value="C">高三</option>
						<option value="D">复读班</option>
					</select>
				</td>
				<td>班级</td>
				<td>
					<select name="classCode">
						<option value="01">一班</option>
						<option value="02">二班</option>
						<option value="03">三班</option>
						<option value="04">四班</option>
						<option value="05">五班</option>
						<option value="06">六班</option>
					</select>
				</td>
			</tr>
			<tr>
				<td>姓名</td>
				<td><input type="text" name="" value=""/></td>
				<td>学号</td>
				<td><input type="text" name="" value=""/></td>
				<td>性别</td>
				<td>
					<input type="radio" name="gender" VALUE="F"/>男
					<input type="radio" name="gender" value="M"/>女
				</td>
			</tr>
			<tr>
				<td>毕业/升级类别</td>
				<td>
					<select name="upgradeType">
						<option value="01">毕业</option>
						<option value="02">升级</option>
					</select>
				</td>
				<td>电话</td>
				<td><input type="text" name="" value=""/></td>
				<td>地址</td>
				<td><input type="text" name="" value=""/></td>
			</tr>
			<tr>
				<td>申请原因</td>
				<td colspan="5">
					<textarea rows="8" cols="48"></textarea>
				</td>
			</tr>
			<tr>
				<td colspan="6">
					<input type="button" class="button_sub01" value="提交"/>
				</td>
			</tr>
		</table>
	</form>
	</div>
</body>